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OUP accepted manuscript. Ann Work Expo Health 2022; 66:794-807. [DOI: 10.1093/annweh/wxac010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2021] [Revised: 01/10/2022] [Accepted: 01/31/2022] [Indexed: 11/13/2022] Open
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Dong W, Stomackin G, Lin X, Martin GK, Jung TT. Distortion product otoacoustic emissions: Sensitive measures of tympanic -membrane perforation and healing processes in a gerbil model. Hear Res 2019; 378:3-12. [PMID: 30709692 DOI: 10.1016/j.heares.2019.01.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 01/13/2019] [Accepted: 01/20/2019] [Indexed: 11/27/2022]
Abstract
Distortion product otoacoustic emissions (DPOAEs) evoked by two pure tones carry information about the mechanisms that generate and shape them. Thus, DPOAEs hold promise for providing powerful noninvasive diagnostic details of cochlear operations, middle ear (ME) transmission, and impairments. DPOAEs are sensitive to ME function because they are influenced by ME transmission twice, i.e., by the inward-going primary tones in the forward direction and the outward traveling DPOAEs in the reverse direction. However, the effects of ME injuries on DPOAEs have not been systematically characterized. The current study focused on exploring the utility of DPOAEs for examining ME function by methodically characterizing DPOAEs and ME transmission under pathological ME conditions, specifically under conditions of tympanic-membrane (TM) perforation and spontaneous healing. Results indicated that DPOAEs were measurable with TM perforations up to ∼50%, and DPOAE reductions increased with increasing size of the TM perforation. DPOAE reductions were approximately flat across test frequencies when the TM was perforated about 10% (<1/8 of pars tensa) or less. However, with perforations greater than 10%, DPOAEs decreased further with a low-pass filter shape, with ∼30 dB loss at frequencies below 10 kHz and a quick downward sloping pattern at higher frequencies. The reduction pattern of DPOAEs across frequencies was similar to but much greater than, the directly measured ME pressure gain in the forward direction, which suggested that reduction in the DPOAE was a summation of losses of ME ear transmission in both the forward and reverse directions. Following 50% TM perforations, DPOAEs recovered over a 4-week spontaneously healing interval, and these recoveries were confirmed by improvements in auditory brainstem response (ABR) thresholds. However, up to 4-week post-perforation, DPOAEs never fully recovered to the levels obtained with normal intact TM, consistent with the incomplete recovery of ABR thresholds and ME transmission, especially at high-frequency regions, which could be explained by an irregularly dense and thickened healed TM. Since TM perforations in patients are commonly caused by either trauma or infection, the present results contribute towards providing insight into understanding ME transmission under pathological conditions as well as promoting the application of DPOAEs in the evaluation and diagnosis of deficits in the ME-transmission system.
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Affiliation(s)
- Wei Dong
- Research Service, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA; Department of Otolaryngology--Head & Neck Surgery, Loma Linda University Health, Loma Linda, CA 92354, USA.
| | - Glenna Stomackin
- Research Service, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA
| | - Xiaohui Lin
- Research Service, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA
| | - Glen K Martin
- Research Service, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA; Department of Otolaryngology--Head & Neck Surgery, Loma Linda University Health, Loma Linda, CA 92354, USA
| | - Timothy T Jung
- Research Service, VA Loma Linda Healthcare System, Loma Linda, CA 92357, USA; Department of Otolaryngology--Head & Neck Surgery, Loma Linda University Health, Loma Linda, CA 92354, USA
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Estimation of Round-Trip Outer-Middle Ear Gain Using DPOAEs. J Assoc Res Otolaryngol 2016; 18:121-138. [PMID: 27796594 DOI: 10.1007/s10162-016-0592-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Accepted: 09/20/2016] [Indexed: 10/20/2022] Open
Abstract
The reported research introduces a noninvasive approach to estimate round-trip outer-middle ear pressure gain using distortion product otoacoustic emissions (DPOAEs). Our ability to hear depends primarily on sound waves traveling through the outer and middle ear toward the inner ear. The role of the outer and middle ear in sound transmission is particularly important for otoacoustic emissions (OAEs), which are sound signals generated in a healthy cochlea and recorded by a sensitive microphone placed in the ear canal. OAEs are used to evaluate the health and function of the cochlea; however, they are also affected by outer and middle ear characteristics. To better assess cochlear health using OAEs, it is critical to quantify the effect of the outer and middle ear on sound transmission. DPOAEs were obtained in two conditions: (i) two-tone and (ii) three-tone. In the two-tone condition, DPOAEs were generated by presenting two primary tones in the ear canal. In the three-tone condition, DPOAEs at the same frequencies (as in the two-tone condition) were generated by the interaction of the lower frequency primary tone in the two-tone condition with a distortion product generated by the interaction of two other external tones. Considering how the primary tones and DPOAEs of the aforementioned conditions were affected by the forward and reverse outer-middle ear transmission, an estimate of the round-trip outer-middle ear pressure gain was obtained. The round-trip outer-middle ear gain estimates ranged from -39 to -17 dB between 1 and 3.3 kHz.
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Abstract
The use of genetically modified mice can accelerate progress in auditory research. However, the fundamental profile of mouse hearing has not been thoroughly documented. In the current study, we explored mouse middle ear transmission by measuring sound-evoked vibrations at several key points along the ossicular chain using a laser-Doppler vibrometer. Observations were made through an opening in pars flaccida. Simultaneously, the pressure at the tympanic membrane close to the umbo was monitored using a micro-pressure-sensor. Measurements were performed in C57BL mice, which are widely used in hearing research. Our results show that the ossicular local transfer function, defined as the ratio of velocity to the pressure at the tympanic membrane, was like a high-pass filter, almost flat at frequencies above ∼15 kHz, decreasing rapidly at lower frequencies. There was little phase accumulation along the ossicles. Our results suggested that the mouse ossicles moved almost as a rigid body. Based on these 1-dimensional measurements, the malleus-incus-complex primarily rotated around the anatomical axis passing through the gonial termination of the anterior malleus and the short process of the incus, but secondary motions were also present. This article is part of a special issue entitled "MEMRO 2012".
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Affiliation(s)
- Wei Dong
- Department of Otolaryngology, Head and Neck Surgery, Columbia University, P&S 11-452, 630 West 168th Street, New York, NY 10032, USA.
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Dong W, Decraemer WF, Olson ES. Reverse transmission along the ossicular chain in gerbil. J Assoc Res Otolaryngol 2012; 13:447-59. [PMID: 22466074 DOI: 10.1007/s10162-012-0320-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2011] [Accepted: 03/11/2012] [Indexed: 10/28/2022] Open
Abstract
In a healthy cochlea stimulated with two tones f (1) and f (2), combination tones are generated by the cochlea's active process and its associated nonlinearity. These distortion tones travel "in reverse" through the middle ear. They can be detected with a sensitive microphone in the ear canal (EC) and are known as distortion product otoacoustic emissions. Comparisons of ossicular velocity and EC pressure responses at distortion product frequencies allowed us to evaluate the middle ear transmission in the reverse direction along the ossicular chain. In the current study, the gerbil ear was stimulated with two equal-intensity tones with fixed f (2)/f (1) ratio of 1.05 or 1.25. The middle ear ossicles were accessed through an opening of the pars flaccida, and their motion was measured in the direction in line with the stapes piston-like motion using a laser interferometer. When referencing the ossicular motion to EC pressure, an additional amplitude loss was found in reverse transmission compared to the gain in forward transmission, similar to previous findings relating intracochlear and EC pressure. In contrast, sound transmission along the ossicular chain was quite similar in forward and reverse directions. The difference in middle ear transmission in forward and reverse directions is most likely due to the different load impedances-the cochlea in forward transmission and the EC in reverse transmission.
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Affiliation(s)
- Wei Dong
- Department of Otolaryngology, Head and Neck Surgery, Columbia University, 630 West 168th Street, New York, NY 10032, USA.
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Ear Canal Pressure Variations Versus Negative Middle Ear Pressure: Comparison Using Distortion Product Otoacoustic Emission Measurement in Humans. Ear Hear 2012; 33:69-78. [DOI: 10.1097/aud.0b013e3182280326] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Olzowy B, Deppe C, Arpornchayanon W, Canis M, Strieth S, Kummer P. Quantitative estimation of minor conductive hearing loss with distortion product otoacoustic emissions in the guinea pig. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2010; 128:1845-1852. [PMID: 20968357 DOI: 10.1121/1.3474898] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Subclinical conductive hearing losses (CHLs) can affect otoacoustic emissions and therefore limit their potential in the assessment of the cochlear function. Theoretical considerations to estimate a minor CHL from DPOAE measurements [Kummer et al. (2006). HNO 54, 457-467] are evaluated experimentally. They are based on the fact, that the level difference of the stimulus tones L(1) and L(2) for optimal excitation of the inner ear is given by L(1)=aL(2)+b. A CHL is presumed to attenuate both L(1) and L(2) to the same extent such that excitation of the inner ear is no longer optimal. From the change of L(1) that is necessary to restore optimal excitation of the inner ear and thus to produce maximal DPOAE levels, the CHL can be estimated. In 10 guinea pig ears an experimental CHL was produced, quantified by determination of compound action potential (CAP) thresholds at 8 kHz (CHL(CAP)) and estimated from DPOAE measurements at 8 kHz (CHL(DPOAE)). CHLs up to 12 dB could be assessed. CHL(DPOAE) correlated well with CHL(CAP) (R=0.741, p=0.0142). Mean difference between CHL(DPOAE) and CHL(CAP) was 4.2±2.6 dB. Estimation of minor CHL from DPOAE measurements might help to increase the diagnostic value of DPOAEs.
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Affiliation(s)
- Bernhard Olzowy
- Department of Otorhinolaryngology, Head and Neck Surgery, Ludwig Maximilians University of Munich Medical Center, Marchioninistr. 15, 81377 Munich, Germany.
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Effects of negative middle ear pressure on distortion product otoacoustic emissions and application of a compensation procedure in humans. Ear Hear 2010; 30:191-202. [PMID: 19194291 DOI: 10.1097/aud.0b013e31819769e1] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE This study was intended to systematically examine the effect of negative middle ear pressure (MEP) on distortion product otoacoustic emissions (DPOAEs) and to validate a compensation procedure to account for negative MEP encountered in DPOAE measurement. DESIGN In experiment 1, the 2f1 - f2 DPOAE was measured for nine f2 frequencies from 600 to 8000 Hz in 16 adults under three MEP conditions: normal MEP, negative MEP, and compensated MEP. The subjects' voluntarily induced negative MEPs, with magnitudes ranging from -40 to -420 daPa, were measured tympanometrically with the tympanometric peak pressure. Each negative MEP was then compensated for by applying an equivalent amount of negative air pressure into the ear canal. The three MEP conditions were compared in terms of difference in DPOAE level. Experiment 2 was conducted to measure the DPOAE under normal and negative MEP conditions by using a different system with a higher frequency resolution in 19 subjects. RESULTS Negative MEP generally attenuated DPOAEs more for low frequencies than for high frequencies. For the frequencies of 1000 Hz and below, the mean DPOAE level was reduced by at least 4 to 6 dB for negative MEPs lower than -100 daPa (i.e., less negative). Reduction of the DPOAE level increased with increasing negative MEP (e.g., 10 to 12 dB for -160 daPa and higher, i.e., more negative). For f2 = 2000, 4000, and 6000 Hz, the effect of negative MEP was not significant. For 3000 Hz, DPOAE-level reduction was significant (e.g., 5 dB for MEP = -70 to -95 daPa and up to 12 dB for -290 to -420 daPa). As a result, a peak at 2000 Hz and a notch at 3000 Hz appeared in the DPOAE change versus frequency function. For 8000 Hz, DPOAE levels tended to increase in high negative MEPs, although the changes were not significant. Intersubject variability in the effect of negative MEP on DPOAEs was large. As the negative MEPs were compensated for, the decreased DPOAE levels were significantly corrected. DPOAEs measured with higher resolution in experiment 2 verified the frequency-specific effects of negative MEPs. Results revealed that the peak and notch in the DPOAE change versus frequency function shifted toward higher frequencies when negative MEP was increased, and a second peak emerged at a higher frequency. CONCLUSIONS Negative MEP substantially decreases DPOAE level for low frequencies and some mid-frequencies but tends to increase DPOAE level for high frequencies. Results suggest that any degree of negative MEP should be corrected to obtain an accurate outcome of DPOAE measurement. The MEP compensation procedure is effective in restoring normal DPOAEs in ears with negative MEPs. Examining changes in DPOAE level under negative MEP allows for further study of the transmission of acoustic signals through an altered middle ear system. A minimal change of DPOAE level at 2000 Hz indicates that the primary resonant frequency of the middle ear is lower than 2000 Hz. The variation in DPOAE change in the middle to high frequency range implies multiple resonances of the middle ear system.
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Neely ST, Johnson TA, Kopun J, Dierking DM, Gorga MP. Distortion-product otoacoustic emission input/output characteristics in normal-hearing and hearing-impaired human ears. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2009; 126:728-38. [PMID: 19640039 PMCID: PMC2730716 DOI: 10.1121/1.3158859] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2009] [Revised: 05/15/2009] [Accepted: 05/26/2009] [Indexed: 05/23/2023]
Abstract
Distortion-product otoacoustic emission (DPOAE) input/output (I/O) functions were measured in 322 ears of 176 subjects at as many as 8 f(2) frequencies per ear for a total of 1779 I/O functions. The f(2) frequencies ranged from 0.7 to 8 kHz in half-octave steps. Behavioral thresholds (BTs) at the f(2) frequencies ranged from -5 to 60 dB hearing loss (HL). Both linear-pressure and nonlinear, two-slope functions were fitted to the data. The two-slope function describes I/O compression as output-controlled self-suppression. Most I/O functions (96%) were better fitted by the two-slope method. DPOAE thresholds based on each method were used to predict BTs. Compared to estimates based on linear-pressure functions, individual BTs predicted from DPOAE thresholds based on the two-slope model had lower residual error and accounted for more variance. Another advantage of the two-slope method is that it provides an estimate of response growth rate (RGR) that is not tied to threshold. At all frequencies, the median low-level RGR (across I/O functions of the same f(2) and BT) usually increased as BT increased, while high-level compression decreased. The observed characteristics of DPOAE I/O functions are consistent with the loss of cochlear compression that is typically associated with mild-to-moderate HL.
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Affiliation(s)
- Stephen T Neely
- Boys Town National Research Hospital, 555 North 30th Street, Omaha, NE 68131, USA
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Abstract
Características como a freqüência de ressonância da orelha externa e da orelha média podem interferir na captação das emissões otoacústicas. OBJETIVO: Investigar a influência da freqüência de ressonância da orelha externa e da orelha média na resposta das emissões otoacústicas. DESENHO CIENTÍFICO: Estudo de série, prospectivo, clínico. MATERIAL E MÉTODO: Foram feitas medidas com microfone-sonda na orelha externa, timpanometria de multifreqüência e teste de emissões otoacústicas por transitório e produto de distorção em 19 orelhas direitas e 20 orelhas esquerdas de indivíduos do sexo masculino e 23 orelhas direitas e 23 orelhas esquerdas de indivíduos do sexo feminino com 17 a 30 anos. As 85 orelhas eram audiologicamente normais. RESULTADOS: Não foram observadas relações estatisticamente significantes entre a melhor freqüência de emissões otoacústicas e a freqüência de ressonância da orelha externa oclusa e da orelha média. CONCLUSÃO: Os níveis de respostas das emissões otoacústicas por transitório e produto de distorção não são influenciadas apenas pela ressonância da orelha externa e da orelha média.
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Couto CMD, Carvallo RMM. The effect external and middle ears have in otoacoustic emissions. Braz J Otorhinolaryngol 2009; 75:15-23. [PMID: 19488555 PMCID: PMC9442167 DOI: 10.1016/s1808-8694(15)30826-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2007] [Accepted: 09/22/2007] [Indexed: 11/24/2022] Open
Abstract
UNLABELLED Characteristics of how external and middle ear resonance frequency can impact the capture of otoacoustic emissions. AIM to study the impact of external and middle ear resonance frequency in otoacoustic emissions. STUDY DESIGN Prospective, clinical, series study. MATERIALS AND METHODS Microphone-probe measurements were made in the external ear, together with multifrequency timpanometry distortion product transient otoacoustic emissions in 19 right and 20 left ears from male individuals and 23 right and 23 left ears from female individuals with 17 to 30 years of age. The 85 ears were audiologically normal. RESULTS We did not observe statistically significant associations between the best otoacoustic emission best frequencies and the occluded external and middle ear resonance frequencies. CONCLUSION Response levels for both transient and distortion product otoacoustic emissions are not influenced by the external and middle ear resonances alone.
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Gorga MP, Neely ST, Dierking DM, Kopun J, Jolkowski K, Groenenboom K, Tan H, Stiegemann B. Low-frequency and high-frequency distortion product otoacoustic emission suppression in humans. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2008; 123:2172-90. [PMID: 18397024 PMCID: PMC2562758 DOI: 10.1121/1.2839138] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/23/2007] [Revised: 01/09/2008] [Accepted: 01/09/2008] [Indexed: 05/26/2023]
Abstract
Distortion product otoacoustic emission suppression (quantified as decrements) was measured for f(2)=500 and 4000 Hz, for a range of primary levels (L(2)), suppressor frequencies (f(3)), and suppressor levels (L(3)) in 19 normal-hearing subjects. Slopes of decrement-versus-L(3) functions were similar at both f(2) frequencies, and decreased as f(3) increased. Suppression tuning curves, constructed from decrement functions, were used to estimate (1) suppression for on- and low-frequency suppressors, (2) tip-to-tail differences, (3) Q(ERB), and (4) best frequency. Compression, estimated from the slope of functions relating suppression "threshold" to L(2) for off-frequency suppressors, was similar for 500 and 4000 Hz. Tip-to-tail differences, Q(ERB), and best frequency decreased as L(2) increased for both frequencies. However, tip-to-tail difference (an estimate of cochlear-amplifier gain) was 20 dB greater at 4000 Hz, compared to 500 Hz. Q(ERB) decreased to a greater extent with L(2) when f(2)=4000 Hz, but, on an octave scale, best frequency shifted more with level when f(2)=500 Hz. These data indicate that, at both frequencies, cochlear processing is nonlinear. Response growth and compression are similar at the two frequencies, but gain is greater at 4000 Hz and spread of excitation is greater at 500 Hz.
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Affiliation(s)
- Michael P Gorga
- Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131, USA.
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Shera CA, Guinan JJ. Mechanisms of Mammalian Otoacoustic Emission. ACTIVE PROCESSES AND OTOACOUSTIC EMISSIONS IN HEARING 2008. [DOI: 10.1007/978-0-387-71469-1_9] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
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Gorga MP, Neely ST, Dierking DM, Kopun J, Jolkowski K, Groenenboom K, Tan H, Stiegemann B. Low-frequency and high-frequency cochlear nonlinearity in humans. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2007; 122:1671. [PMID: 17927427 PMCID: PMC2440918 DOI: 10.1121/1.2751265] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Low- and high-frequency cochlear nonlinearity was studied by measuring distortion product otoacoustic emission input/output (DPOAE I/O) functions at 0.5 and 4 kHz in 103 normal-hearing subjects. Behavioral thresholds at both f2's were used to set L2 in dB SL for each subject. Primary levels were optimized by determining the L1 resulting in the largest L(dp) for each L2 for each subject and both f2's. DPOAE I/O functions were measured using L2 inputs from -10 dB SL (0.5 kHz) or -20 dB SL (4 kHz) to 65 dB SL (both frequencies). Mean DPOAE I/O functions, averaged across subjects, differed between the two frequencies, even when threshold was taken into account. The slopes of the I/O functions were similar at 0.5 and 4 kHz for high-level inputs, with maximum compression ratios of about 4:1. At both frequencies, the maximum slope near DPOAE threshold was approximately 1, which occurred at lower levels at 4 kHz, compared to 0.5 kHz. These results suggest that there is a wider dynamic range and perhaps greater cochlear-amplifier gain at 4 kHz, compared to 0.5 kHz. Caution is indicated, however, because of uncertainties in the interpretation of slope and because the confounding influence of differences in noise level could not be completely controlled.
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Affiliation(s)
- Michael P Gorga
- Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131, USA.
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Purcell DW, Ross B, Picton TW, Pantev C. Cortical responses to the 2f1-f2 combination tone measured indirectly using magnetoencephalography. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2007; 122:992-1003. [PMID: 17672647 DOI: 10.1121/1.2751250] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
The simultaneous presentation of two tones with frequencies f(1) and f(2) causes the perception of several combination tones in addition to the original tones. The most prominent of these are at frequencies f(2)-f(1) and 2f(1)-f(2). This study measured human physiological responses to the 2f(1)-f(2) combination tone at 500 Hz caused by tones of 750 and 1000 Hz with intensities of 65 and 55 dB SPL, respectively. Responses were measured from the cochlea using the distortion product otoacoustic emission (DPOAE), and from the auditory cortex using the 40-Hz steady-state magnetoencephalographic (MEG) response. The perceptual response was assessed by having the participant adjust a probe tone to cause maximal beating ("best-beats") with the perceived combination tone. The cortical response to the combination tone was evaluated in two ways: first by presenting a probe tone with a frequency of 460 Hz at the perceptual best-beats level, resulting in a 40-Hz response because of interaction with the combination tone at 500 Hz, and second by simultaneously presenting two f(1) and f(2) pairs that caused combination tones that would themselves beat at 40 Hz. The 2f(1)-f(2) DPOAE in the external auditory canal had a level of 2.6 (s.d. 12.1) dB SPL. The 40-Hz MEG response in the contralateral cortex had a magnitude of 0.39 (s.d. 0.1) nA m. The perceived level of the combination tone was 44.8 (s.d. 11.3) dB SPL. There were no significant correlations between these measurements. These results indicate that physiological responses to the 2f(1)-f(2) combination tone occur in the human auditory system all the way from the cochlea to the primary auditory cortex. The perceived magnitude of the combination tone is not determined by the measured physiological response at either the cochlea or the cortex.
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Affiliation(s)
- David W Purcell
- Rotman Research Institute at Baycrest, Toronto, Ontario, Canada.
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Abdala C, Keefe DH. Effects of middle-ear immaturity on distortion product otoacoustic emission suppression tuning in infant ears. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2006; 120:3832-42. [PMID: 17225410 DOI: 10.1121/1.2359237] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Distortion product otoacoustic emission (DPOAE) measures of cochlear function, including DPOAE suppression tuning curves and input/output (I/O) functions, are not adultlike in human infants. These findings suggest the cochlear amplifier might be functionally immature in newborns. However, many noncochlear factors influence DPOAEs and must be considered. This study examines whether age differences in DPOAE I/O functions recorded from infant and adult ears reflect maturation of ear-canal/middle-ear function or cochlear mechanics. A model based on linear middle-ear transmission and nonlinear cochlear generation was developed to fit the adult DPOAE I/O data. By varying only those model parameters related to middle-ear transmission (and holding cochlear parameters at adult values), the model successfully fitted I/O data from infants at birth through age 6 months. This suggests that cochlear mechanics are mature at birth. The model predicted an attenuation of stimulus energy through the immature ear canal and middle ear, and evaluated whether immaturities in forward transmission could explain the differences consistently observed between infant and adult DPOAE suppression. Results show that once the immaturity was compensated for by providing infants with a relative increase in primary tone level, DPOAE suppression tuning at f2= 6000 Hz was similar in adults and infants.
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Affiliation(s)
- Carolina Abdala
- House Ear Institute, 2100 West Third Street, Children's Auditory Research and Evaluation Center, Los Angeles, California 90057, USA.
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Kummer P, Schuster EM, Rosanowski F, Eysholdt U, Lohscheller J. Der Einfluss einer Schallleitungsstörung auf die DPOAE-Schwelle. HNO 2006; 54:457-64, 466-7. [PMID: 16283131 DOI: 10.1007/s00106-005-1341-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND The DPOAE-threshold, estimated from extrapolated I/O functions, allows an objective assessment of the mechanical sensitivity of the inner ear. In children, the specificity of this diagnostic tool is impaired by conductive hearing loss. METHODS In this study, we propose an individual optimization of the primary tone level ratio. This procedure allows the detection of a conductive hearing loss that can be accounted for when estimating the DPOAE-threshold. By means of a simulation using DPOAE-data from 22 normally hearing subjects, the effects of this procedure on the estimation of the DPOAE-threshold are examined. RESULTS An individually optimized DPOAE stimulation distinctly improves the signal-to-noise ratio of the DPOAE which enables an estimation of the DPOAE-threshold for sound conductive losses up to 15 dB. The DPOAE-threshold only worsens in individual cases. CONCLUSIONS An individually optimized stimulation paradigm may improve the specificity of inner ear diagnostics with the DPOAE-threshold. A clinical evaluation of the method in children, however, is necessary.
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Affiliation(s)
- P Kummer
- Abteilung für Phoniatrie und Pädaudiologie, Universitätsklinikum Erlangen.
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Dunckley KT, Dreisbach LE. Gender effects on high frequency distortion product otoacoustic emissions in humans. Ear Hear 2005; 25:554-64. [PMID: 15604916 DOI: 10.1097/00003446-200412000-00004] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Gender has been reported to affect many tests of the auditory system, including distortion product otoacoustic emission (DPOAE) group delay and level when elicited with lower frequency stimuli (<8 kHz). Using custom equipment, the effect of gender on DPOAEs at higher frequencies was explored. It is expected that differences in group delay reported at very low frequencies (e.g., 0.78 Hz) will not be replicated at higher frequencies. Additionally, it was hypothesized that female subjects would display larger-level DPOAEs at higher frequencies, based on evidence that female subjects tend to have larger emissions when elicited with lower frequency stimuli. DESIGN DPOAEs were measured in 37 subjects (20 females and 17 males) with normal behavioral thresholds, middle ear function, and present acoustic reflexes at 1 kHz with contralateral stimulation. Behavioral thresholds were measured through 16 kHz using Békèsy tracking. Ratio and frequency sweeps were used to calculate DPOAE group delay and measure DPOAE levels, respectively. Ratio sweeps were obtained at f2 frequencies of 1, 2, 4, 8, 10, 12, 14, and 16 kHz, with L1 = 60 and L2 = 45 dB SPL, with the ratio (f2/f1) varied from 1.11 to 1.3. Frequency sweeps were measured with L1 = 60 and L2 = 45 dB SPL and an f2/f1 of 1.2 at discrete f2 frequencies between 1 and 16 kHz. Data were subjected to repeated-measures analysis of variance. RESULTS Significant frequency-by-gender interactions were found for group delay (for data from 1 to 8 kHz) and level (for data from 9 to 15 kHz). The frequency-by-gender interaction and the main effect of gender were not significant for the behavioral results. CONCLUSIONS Gender-based norms for auditory-evoked potentials measures are standard in clinical settings. The results of the present study, in agreement with previous studies, indicate that significant interactions exist between gender and DPOAE group delay values in the lower frequencies, and between gender and DPOAE levels at the higher frequencies. To reach the goal of using high frequency DPOAEs in clinical protocols, such as for auditory neuropathy/dys-synchrony diagnosis and ototoxicity monitoring, DPOAEs elicited with conventional and higher frequency stimuli must be understood, including the role of gender to determine if an effect on clinical protocols would exist.
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Affiliation(s)
- K T Dunckley
- National Center for Rehabilitative Auditory Research, Portland, Oregon, USA
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Neely ST, Johnson TA, Gorga MP. Distortion-product otoacoustic emission measured with continuously varying stimulus level. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2005; 117:1248-59. [PMID: 15807014 PMCID: PMC1414785 DOI: 10.1121/1.1853253] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
Distortion-product otoacoustic emissions (DPOAE) are measured by stimulating the ear with two simultaneous tones. A novel method for measuring DPOAEs has been developed in which the tone levels vary continuously instead of in discrete steps. Varying the tone levels continuously may offer advantages for characterizing DPOAE level as a function of stimulus level. For equivalent primary levels, DPOAE levels measured with the continuous-level method were the same as levels obtained with the discrete-level method, thus validating the new method. Continuous-level measurements were used to determine the optimal L1 for each L2 in individual subjects (N= 20) at f2 = 1, 2, 4, and 8 kHz by using a Lissajous path that covered a wide range of stimulus levels. The optimal L1 (defined as the L1 that resulted in the largest DPOAE for each L2) varied across subjects and across frequency. The optimal difference between L1 and L2 decreased with increasing L2 at all frequencies, and increased with frequency when L2 was low. When the optimal L1 was determined individually for each ear, the DPOAE levels were larger and less variable than those obtained using the equation for L1 suggested by Kummer et al. [J. Acoust. Soc. Am. 103, 3431-3444 (1998)].
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Affiliation(s)
- Stephen T Neely
- Boys Town National Research Hospital, Omaha, Nebraska 68131, USA
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Gehr DD, Janssen T, Michaelis CE, Deingruber K, Lamm K. Middle ear and cochlear disorders result in different DPOAE growth behaviour: implications for the differentiation of sound conductive and cochlear hearing loss. Hear Res 2004; 193:9-19. [PMID: 15219315 DOI: 10.1016/j.heares.2004.03.018] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2003] [Accepted: 03/30/2004] [Indexed: 10/26/2022]
Abstract
Input/output functions of distortion product otoacoustic emissions (DPOAE I/O-functions) give an insight into the compressive, non-linear sound processing of the cochlea. With an inner ear dysfunction a steeper I/O-function is observed. Due to the linear sound processing of the middle ear, one can assume that the DPOAE growth behaviour remains unaltered with a sound conduction dysfunction. If that is true, a differentiation between middle and inner ear dysfunction will be possible by using the slope of DPOAE I/O-functions as a means for assessing cochlear compression. In order to test that hypothesis, DPOAE I/O-functions were recorded in a wide primary tone level range at up to 8 f2 frequencies between 2.0 and 8.0 kHz (15 dB SPL < L2< 60 dB SPL; L1=0.46 L2 + 41 dB SPL; f2/f1=1.2) in guinea pigs in which middle (saline solution in the bulla) and inner ear (exposure to loud broadband noise) disorders were induced. Middle ear dysfunction resulted in a reduction of the DPOAE amplitude independent of the primary tone level. Consequently, DPOAE growth behaviour was not affected. In contrast to that, during cochlear impairment, steepened DPOAE I/O-functions were observed reflecting loss of compression of the cochlear amplifier. Accordingly, DPOAE I/O-functions allow a differentiation between middle and inner ear dysfunction. Further studies will have to show the usability of this method for clinical diagnostics, e.g. for detecting sound conduction disturbances in newborn hearing screening due to amniotic fluid or Eustachian tube dysfunctions during the early postnatal period.
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Affiliation(s)
- Daniel D Gehr
- ENT Department, Technische Universität München, Clinic Rechts der Isar, Ismaninger Strasse 22, D-81675 Munich, Germany
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Purcell DW, Kunov H, Cleghorn W. Estimating bone conduction transfer functions using otoacoustic emissions. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2003; 114:907-918. [PMID: 12942972 DOI: 10.1121/1.1582436] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
A technique for estimating the nonparametric bone conduction transfer function using distortion product otoacoustic emissions (DPOAEs) is presented. Individual transfer functions were obtained using DPOAEs recorded from a single ear of five normal-hearing adults. Repeatability of the technique was investigated by performing measurements on at least three dates. Functions were reasonably repeatable, and were unique to each individual as expected from subjective measurements. Input force and DPOAE measurements were made for each individual, and a model of the auditory periphery representative of an average person was employed. The technique is objective and requires only passive cooperation, but robust DPOAEs are needed and the measurement time can be onerous for a wide frequency band or fine frequency resolution. With appropriate adjustments to the model of the auditory periphery, the method could be applied with animal models.
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Affiliation(s)
- David W Purcell
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario M5S 3G9, Canada.
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Schairer KS, Fitzpatrick D, Keefe DH. Input-output functions for stimulus-frequency otoacoustic emissions in normal-hearing adult ears. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2003; 114:944-66. [PMID: 12942975 DOI: 10.1121/1.1592799] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Input-output (I/O) functions for stimulus-frequency (SFOAE) and distortion-product (DPOAE) otoacoustic emissions were recorded in 30 normal-hearing adult ears using a nonlinear residual method. SFOAEs were recorded at half octaves from 500-8000 Hz in an L1=L2 paradigm with L2=0 to 85 dB SPL, and in a paradigm with L1 fixed and L2 varied. DPOAEs were elicited with primary levels of Kummer et al. [J. Acoust. Soc. Am. 103, 3431-3444 (1998)] at f2 frequencies of 2000 and 4000 Hz. Interpretable SFOAE responses were obtained from 1000-6000 Hz in the equal-level paradigm. SFOAE levels were larger than DPOAEs levels, signal-to-noise ratios were smaller, and I/O functions were less compressive. A two-slope model of SFOAE I/O functions predicted the low-level round-trip attenuation, the breakpoint between linearity and compression, and compressive slope. In ear but not coupler recordings, the noise at the SFOAE frequency increased with increasing level (above 60 dB SPL), whereas noise at adjacent frequencies did not. This suggests the existence of a source of signal-dependent noise producing cochlear variability, which is predicted to influence basilar-membrane motion and neural responses. A repeatable pattern of notched SFOAE I/O functions was present in some ears, and explained using a two-source mechanism of SFOAE generation.
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Affiliation(s)
- Kim S Schairer
- Center for Hearing Research, Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131, USA.
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Puria S. Measurements of human middle ear forward and reverse acoustics: implications for otoacoustic emissions. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2003; 113:2773-89. [PMID: 12765395 DOI: 10.1121/1.1564018] [Citation(s) in RCA: 108] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Middle and inner ears from human cadaver temporal bones were stimulated in the forward direction by an ear-canal sound source, and in the reverse direction by an inner-ear sound source. For each stimulus type, three variables were measured: (a) Pec--ear-canal pressure with a probe-tube microphone within 3 mm of the eardrum, (b) Vst--stapes velocity with a laser interferometer, and (c) Pv--vestibule pressure with a hydrophone. From these variables, the forward middle-ear pressure gain (M1), the cochlear input impedance (Zc), the reverse middle-ear pressure gain (M2), and the reverse middle-ear impedance (M3) are directly obtained for the first time from the same preparation. These measurements can be used to fully characterize the middle ear as a two-port system. Presently, the effect of the middle ear on otoacoustic emissions (OAEs) is quantified by calculating the roundtrip middle-ear pressure gain Gme(RT) as the product of M1 and M2. In the 2-6.8 kHz region, absolute value(Gme(RT)) decreases with a slope of -22 dB/oct, while OAEs (both click evoked and distortion products) tend to be independent of frequency; this suggests a steep slope in vestibule pressure from 2 kHz to at least 4 kHz for click evoked OAEs and to at least 6.8 kHz for distortion product OAEs. Contrary to common assumptions, measurements indicate that the emission generator mechanism is frequency dependent. Measurements are also used to estimate the reflectance of basally traveling waves at the stapes, and apically generated nonlinear reflections within the vestibule.
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Affiliation(s)
- Sunil Puria
- Stanford University, Mechanics and Computation Division, Palo Alto, California 94305, USA.
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Mills DM. Interpretation of standard distortion product otoacoustic emission measurements in light of the complete parametric response. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2002; 112:1545-60. [PMID: 12398461 DOI: 10.1121/1.1505021] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Emission characteristics (at 2f1-f2) are measured in Mongolian gerbil as a function of the independent variation of all four stimulus parameters, the frequencies (f1 and f2) and the intensities (L1 and L2) of the two stimulus tones. The main five-dimensional display chosen is a logarithmic grid of frequencies, where for each frequency pair there is a contour map of the emission amplitude as a function of the two stimulus levels. The feature which leads to the greatest complexity in the proper interpretation of emission responses is the widespread presence of "notches" in these contour maps. Notches are lines of relative minima in the emission amplitude, and are found at either: (1) constant L1, but only in regions where L1 > L2; or (2) at constant L2, only where L2 > or = L1. Notches are not found at any other orientations, and are associated with emission phase shifts of about 180 degrees as the notch line is traversed. These notch characteristics are explained by phase cancellation in a simple cochlear amplifier model in which there is a change, as a function of the stimulus level alone, of relevant characteristics of the cochlear response to a single tone. Only one mechanism of emission generation is required to explain the observed patterns, i.e., there is no need to invoke different "active" and "passive" mechanisms. Unless properly accounted for, the presence of notches adversely affects all of the standard emission measurements, i.e., all methods which cover a restricted parameter set such as DPgrams, input-output or "growth" functions, and frequency ratio functions. Conversely, because the notch location appears approximately invariant in the cochlea, notches potentially make it possible to use certain emission growth functions to estimate forward and reverse middle-ear transfer functions.
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Affiliation(s)
- David M Mills
- V. M. Bloedel Hearing Research Center, Department of Otolaryngology, Head & Neck Surgery, University of Washington, Seattle 98195, USA.
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